Provider Demographics
NPI:1700498417
Name:FURR, MEREDITH WORRELL (LCMHC-A)
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:WORRELL
Last Name:FURR
Suffix:
Gender:F
Credentials:LCMHC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12900 TOWNFIELD DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-7944
Mailing Address - Country:US
Mailing Address - Phone:919-523-4242
Mailing Address - Fax:
Practice Address - Street 1:5318 HIGHGATE DR STE 132
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6631
Practice Address - Country:US
Practice Address - Phone:919-523-4242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-24
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA15730101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health